| Samaritan Licensed Clinical Social Work, Pc | |
|
220 N Ballston Ave Scotia NY 12302-2533 | |
| (518) 374-3514 | |
| (518) 374-9193 |
| Full Name | Samaritan Licensed Clinical Social Work, Pc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 220 N Ballston Ave, Scotia, New York |
| Authorized Official Name and Position | Deborah Lee Valiquette (OFFICE MANAGER) |
| Authorized Official Contact | 5183743514 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samaritan Licensed Clinical Social Work, Pc 220 N Ballston Ave Scotia NY 12302-2533 Ph: () - | Samaritan Licensed Clinical Social Work, Pc 220 N Ballston Ave Scotia NY 12302-2533 Ph: (518) 374-3514 |
| NPI Number | 1790015212 |
|---|---|
| Provider Enumeration Date | 01/06/2010 |
| Last Update Date | 01/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790015212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | P71596 (New York) | Primary |
Samaritan Licensed Clinical Social Work, Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 220 North Ballston Avenue, Scotia, NY 12302 Phone: 518-374-3514 Fax: 518-374-9193 |